RN Case Manager

REMOTE RN Case Manager Hiring Now! Job Description We are seeking a dedicated Case Manager to perform care management duties, including assessing, planning, and coordinating all aspects of medical and supporting services across the continuum of care for select members. The goal is to promote quality, cost-effective care. If you are interested, please email me directly at olpeterson@actalentservices.com! Responsibilities * Assess the member's current health status, resource utilization, past and present treatment plan and services, prognosis, short and long-term goals, and treatment and provider options. * Coordinate services between Primary Care Physicians (PCP), specialists, medical providers, and non-medical staff as necessary to meet the complete medical and socio-economic needs of clients. * Develop a plan of care based upon assessment with specific objectives, goals, and interventions designed to meet the member's needs. * Facilitate member access to community-based services. * Monitor referrals made to community-based organizations, medical care, and other services to support the member's overall care management plan. * Actively participate in integrated team care management rounds. * Identify related risk management and quality concerns and report these scenarios to the appropriate resources. * Enter and maintain assessments, authorizations, and pertinent clinical information into various medical management systems. Essential Skills * Graduate from an Accredited School of Nursing. * Current state California RN license. * 2 years of pediatric clinical nursing experience in a clinical acute care or community setting. * Knowledge of healthcare and managed care. * Bilingual in Spanish and English (preferred). Additional Skills & Qualifications * Bachelor's degree in Nursing (preferred). * Florida residency required. * Prior experience working in a remote role (preferred). * Prior case management experience (preferred). * Pharmacy technician certification and license. * Experience with prior authorizations. Work Environment This is a work-from-home case management role, focusing on pediatrics from birth to age 21. The role offers flexibility, holiday, PTO, and other benefits. The workplace culture scores highly internally, promoting a supportive and engaging environment. About Actalent Actalent is a global leader in engineering and sciences services and talent solutions. We help visionary companies advance their engineering and science initiatives through access to specialized experts who drive scale, innovation and speed to market. With a network of almost 30,000 consultants and more than 4,500 clients across the U.S., Canada, Asia and Europe, Actalent serves many of the Fortune 500. Diversity, Equity & Inclusion At Actalent, diversity and inclusion are a bridge towards the equity and success of our people. DE&I are embedded into our culture through: * Hiring diverse talent * Maintaining an inclusive environment through persistent self-reflection * Building a culture of care, engagement, and recognition with clear outcomes * Ensuring growth opportunities for our people The company is an equal opportunity employer and will consider all applications without regard to race, sex, age, color, religion, national origin, veteran status, disability, sexual orientation, gender identity, genetic information or any characteristic protected by law. If you would like to request a reasonable accommodation, such as the modification or adjustment of the job application process or interviewing process due to a disability, please email actalentaccommodation@actalentservices.com for other accommodation options.